Humana Case Study

Improved Essays
Humana
Humana, a leading managed health care company, was founded by David A. Jones Sr. and Wendell Cherry in 1961 as a nursing home company called Extendicare. In 1961 two lawyers in Louisville, Kentucky, built a nursing home, pledging $1,000 apiece together with four friends. Wendell Cherry and David Jones--cofounders of that first home, Heritage House--were soon approached with other offers to buy and build nursing homes. Expansion was rapid in the first seven years, and the two men added facilities in Kentucky, Virginia, and Connecticut. With the establishment of Medicare and Medicaid in the mid-1960s, the industry grew quickly. Slightly ahead of the pack in what was to become the most rapidly expanding sector of the nation's economy, Jones
…show more content…
State based contracts include those with various states to provide Medicaid, dual eligible, and Long-term Support Services benefits. In addition, this segment also includes the Company’s contract with the Centers for Medicare and Medicaid Services to administer the Limited Income newly Eligible Transition prescription drug plan program.
The Group and Specialty segment consists of employer group fully insured commercial medical products and specialty health insurance benefits marketed to individuals and groups, including dental, vision, and other supplemental health and voluntary insurance benefits. In addition, the segment also includes the Company’s administrative services only products and its military services businesses, primarily the TRICARE South Region contract.
The company’s Healthcare Services segment includes services offered to the Company’s health plan members as well as to third parties, including pharmacy solutions, provider services, and clinical programs, such as home health and other services and capabilities to promote wellness and advance population

Related Documents

  • Decent Essays

    1.This mission statement targets it purchasers and investors, along with everyone else associated with Universal Health Services, Incorporation. The mission statement declares they want purchases to select them and investors to stay in business with them for the long run. This emphasizes the degree of which they truly do care about the people outside of their business that help keep it running. 2.This mission statement states it wants its employees to be proud of the corporation, not holding stigma towards their place of work.…

    • 239 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Employee benefits are one of the largest investments a company makes. “Benefits make up an important component of the employment relationship, providing employees with financial protection, access to health care and programs to support work/life balance” (Kwon, J. and Hein, P., 2013 page 32). Although employers are careful in creating and managing the benefit program, they often failed to look at the other benefit programs. As a result, the employers may not get the highest return for the overall spending for implementing the benefit programs.…

    • 1032 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Hmo Executive Summary

    • 211 Words
    • 1 Pages

    1. HMO's (Health Maintenance Organization), where a designated group of providers that provide medical services to subscribers for a fixed monthly or an annual premium plan. 2. Preferred Provider Organization (PPO), contracts with physicians and facilities to perform services for PPO members. 3.…

    • 211 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Sharp Healthcare is a large healthcare organization that has set a of goal of being the best place to work and the best place to get healthcare. They have accomplished a lot toward both of these goals by implementing their Six Pillars of Excellence. Sharp focuses on re-recruiting their employees, and use feedback with re-training for employees that are falling short of the company’s expectations. They also implemented patient surveys to acquire feedback from those receiving care so that they can improve the quality of care within their organization.…

    • 1176 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    8 managed care contracting terms and how they impact the way that health care is delivered in the United States Managed care contracting is a term majorly used in the United States that majorly describes techniques that are intended to reduce rather lower the costs giving and providing benefits of health with a mission to improve the care quality for specific organizations using the above-stated techniques. There exist more than 8 managed care contracting terms. However, in this case, we shall only discuss only eight managed care contracting terms. The American Association of preferred provider Organizations.…

    • 899 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    In 1960, the founder of Vancrest, Dr. E.E. White, had a mission “to deliver high quality patient centered care to the rapidly aging population.” (Vancrest.com) He did this when he provided the first…

    • 1826 Words
    • 8 Pages
    Superior Essays
  • Decent Essays

    Essay Blurb About Humana

    • 279 Words
    • 2 Pages

    Humana Blurb about Humana: Good health is as much essential as your insurance. Without a proper health insurance, you may incur irreversible debt. Humana insurance plans offer timely support and services that can help you make a healthy living. The individual and family medical insurance plans provide excellent benefits expected by your healthcare law.…

    • 279 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    The purpose was to stimulate interest by consumers and make the health care delivery under this form is available also access what is in the health care market. MOs brings together medical and health care services. The responsibility for this is to provide services, to return for a fixed monthly or annual payment. The health organizations provide basic enrollees, payment, supplemental health services.…

    • 490 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Managed care is any kind of contractual arrangement that integrate the funding and distribution of medical care. Many of the health care workers and medical facilities deliver care for members at a predetermined price. Managed care has many diverse care plans. Types of managed care organizations are health maintenance organizations, preferred provider organizations, point-of-service, and consumer directed health plans.…

    • 486 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Managed Care Case Study

    • 728 Words
    • 3 Pages

    1. There are two main types of third party payers: private insures and public programs. Private payers sell insurance as a product in order to invest into health benefits, where the provider gets paid for the delivered healthcare service. Commercial insurers, Bleu Cross Blue Shield and self-insures are the main private insures in the country. BCBS is a set of independent companies that are required to follow the rules of the main nationwide association in order to be part of it.…

    • 728 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Continuum of Managed Care is a service that is provided to patients as well as a system to track the outcome of patient healthcare at all levels. “The Continuum of Care covers the delivery of healthcare over a period of time, and may refer to care provided from birth to end of life. Healthcare services are provided for all levels and stages of care.” (HIMSS) The main two types of traditional health insurance is the indemnity insurance and the service plans.…

    • 708 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Continuum Of Care

    • 641 Words
    • 3 Pages

    Healthcare Services (Providers & Partners, N.d.). If the prospective enrollee does need this type of care, then he/she is determined eligible to attend a PACE program. If they do not need this type of care then an adult day health care or adult day care center would be the most suitable type of care for them. Once this is done, the PACE plan will schedule an assessment on the enrollee’s social and medical health from the interdisciplinary team and create a plan of care. The plan of care gets updated when needed by the interdisciplinary team to make sure the care provided is appropriate at all times for the enrollees health and social needs.…

    • 641 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Supplier induced demand is affected by economics, supplier induced demand comes from a major increase in services, supplies, health care professionals, etc. Supplier induced demand can also happen if there would ever be a nature disaster, funding, supplies, volunteers, etc. maybe needed. One of the scenarios here is, if this would happen is there enough supplier induced demand on hand or can it can be produced and if so what is the time frame?…

    • 312 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Four Functional components of the US healthcare delivery system are listed as insurance, finances, reimbursement, and delivery. Each of these portrays a different role, but overlap in a way. Looking at insurance they determine the package of health services the insured individual is entitled to receive, whereas financing is needed to obtain health insurance or to pay for health care services. Delivery is the provision of the services and reimbursement deals with payment services.…

    • 707 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    industry. These competitors are implementing new techniques and training that surpasses UPS outdated methods. These companies are using new technology and creating processes that fit the targeted employee group. Human Resource Management (HRM)…

    • 1562 Words
    • 7 Pages
    Improved Essays